UNKNOWN

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-02-02 for UNKNOWN manufactured by Unknown.

Event Text Entries

[15630977] False positive for cocaine. Urine screen. Diagnosis or reason for use: opiate contract.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5019280
MDR Report Key1981197
Date Received2011-02-02
Date of Report2011-02-02
Date of Event2010-09-15
Date Added to Maude2011-02-10
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameUNKNOWN
Generic NameURINE DRUG SCREEN
Product CodeMPQ
Date Received2011-02-02
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerUNKNOWN


Patients

Patient NumberTreatmentOutcomeDate
10 2011-02-02

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